Individual
NEDINIA MODELO II
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
415 HADLEIGH LN, N BRUNSWICK, NJ 08902-4237
(407) 617-1949
Mailing address
415 HADLEIGH LN, N BRUNSWICK, NJ 08902-4237
(407) 617-1949
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
488708
NY
Other
Enumeration date
08/29/2008
Last updated
08/29/2008
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